NCC Weekend Away 23

NCC Weekend Away 2023

Child's Full Name(Required)

Child's Age(Required)

Emergency Contact Name(Required)

Emergency Contact Number(Required)

Does your child have any allergies?(Required)

Yes

If 'Yes' please let us know what allergies they have

Please list any allergies and medications your child may be taking

Are there any medical or other issues that may prevent your child from participating in the activities?*(Required)

Yes

If Yes, please give us any details that will be helpful to know

Medical Treatment(Required)

In the event of an emergency, and emergency contacts cannot be reached, do you give consent to seek medical treatment if it is necessary?

Yes

I agree that the above information is accurate and give Niddrie Community Church consent for my child to participate(Required)

Please be aware that along with two PVG’d adults at all times, there may be some other leaders from Mount Pleasant Baptist Church in the groups who may not have PVG’s but have been approved by the church to do children’s work. Any questions contact Rachel Wilkins.

Yes

Name of person giving consent(Required)

Date(Required)